Complete Text (Part 16)

3j. Pone in capsulas no. xx. Sig.: One capsule three times daily after meals. Indication: Useful in gastric fermentation and flatulence. IJ Tinct. nucis vomicae, f3j. Tinct. physostigmatis, f3j. Tinct. belladonnse, fSj. Misce. Sig.: Fifteen drops in a little water two or three times daily. Hand-Book of Modern Treatment. 195 IJ Aloes, gr. xxiv. Asafoetidse, gr. xlviij. Misce et fiant pilulse no. xxiv. Sig. : One after meals. Indication: Used in flatulence and constipa- tion of old people. I^ Tinct. asafoetidse, fSj. Aquse, q. s. ad fjviij. Misce. Sig.: A teaspoonful three or four times a day. I^ Magnesii sulphatis, 5j. Spiritus ammoniae aromatici, fSj. Spiritus cinnamomi, fiiij. Aquae destillatae, f^j. Misce. Sig.: A tablespoonful every two hours. Indication: Used in sour eructations. FROSTBITE.— See also Chilblains. IJ Fellis bovis recentis, Oss. Sig.: Warm and rub in well daily. B Ung- thioli (20 per cent, sol.), Jss. Sig.: Apply locally. I^ Tinct. iodi, Jss. Sig.: Apply with a brush once or twice daily. Indication: Only to be employed when the skin is unbroken. IJ Liq. plumbi subacetatis, 5j- Tinct. opii, 5j- Aquae dostillatae, q. s. ad 5xvj. ^risce. Sig.: Apply freely on well moistened soft cloth. Indication: Used in mild cases to relieve pain. 196 Hand-Book of Modern Treatment IJ Olei cajuputi, fSvij. Olei amygdalae dulcis, fSxvij. Misce. Sig. : Apply three times daily on lint. IJ Balsami peruviani, 3ij. Ichthyoli, 3ij. Adipis lanse hydrosi, 3iv. Misee. Sig.: Apply to affected part freely. FURUNCLE. — See also Carbuncle and Abscess. "^ Sodii boratis, 5j. Acidi borici, 3j. Aeidi salicylici, 3j. Acidi tannici, 3j. Misce. Sig.: Sprinkle upon the surface of a yeast poultice and apply. IJ Quininae sulph., 3j. Ferri pyrophos., 3j. Stryclinia sulph., gr. j. Acidi phosphori dil., f3ij. Syr. zingiber is, fjij. Aquae dest., q. s. ad f^iv. Misce. Sig.: Teaspoonful three times a day. Or tinct. ferri mur., gtt. xxv, in water just before each meal. I^ Calcis chloridi, 5ij- Aquae camphorae, ^iv. Tinct. myrrhae, 3ij. Creoaoti (beechwood), mxx. Glycerini, 5j. Misce. Sig.: Apply constantly in form of wet com- press. Indication: To abort furuncles. This will positively remove the most excruciating pain in three or four hours, and will render any form of surgical treat- Band-Book of Modern Treatment, 197 ment unnecessary if begun in time, and is constantly and faith- fully applied. IJ Europheni, 3j. Olei olivae, 5ij. Lanolini, 3v. Olei petrolati, 3v. Misce. Sig. : Apply locally and cover with sterilized gauze. It is claimed by Dr. J. Eilus Eastman, professor of sur- gery in Central College of Physicians and Surgeons of Indian- apolis, that a commencing felon will always be aborted by the local application of alcohol under perfect air exclusion. Cot- ton is saturated with alcohol and placed about the .affected part and a thin rubber finger-stall applied over all. Seventy-two hours usually suffices to give relief or even effect a cure. He learned this in von Bergmann^s polyclinic, in 1897, since which time he has not had occasion to lance a single felon, the treat- ment of which was begun in time by this method. Gallois and Courcoux employ a solution consisting of 4 grammes of iodine to 10 grammes of acetone for the abortive treatment of furuncles. The nodules are touched with an appli- cator carrying cotton saturated with the iodine solution. Lesions which have not suppurated, and even those which contain a drop or two of pus superficially, are aborted within twenty-four hours. Rarely a second application may be required. The solution is more caustic than the tincture and must be used with greater care. In an open wound it causes severe pain and may produce symptoms of iodism. IJ Argenti nitratis, gr. Ixxx. Aquae dest., fSiv. Misce. Sig.: To be applied two or three times on the inflamed surface, and beyond it, on the healthy skin. I^ Calcii sulphidi, gr. iij. Ext. glycyrrhizoe, q. s. Fiant pilulse no. xxx. Sig.: One pill every one or two hours. 198 Hand-Book of Modern Treatment, GALL-STONE COLIC. The intermittent, sharp, stabbing-like pains of short dura- tion, denoting the progressive onward passage of small stones, can most positively be overcome by the following: — IJ Fluidextracti podophylli, m xxiv. Fluidextracti dioscorese vil., fSiij. Tinct. lobelise, f3ij. Aquse chloroformi, ad fjiv. Misce. Sig. : A teaspoonful every half-hour. Olive-oil, so highly extolled, is not a specific, as some au- thors would have us believe, and it is certainly a nauseating medicine to most persons suffering the tortures of colic, with its reflex nausea and vomiting. Its action may be relied upon only when the obstruction is at the diverticulum of Vater. If it is combined with aromatics it is more likely to be retained. The following has been successful: — IJ Olei einnamomi, m v. Methylis salieylatis, m vj. Mentholis, gr. ss. Saccharin i, gr. j. Ess. anisi, 7n xv. Olei olivfle, Oj. Misce. Sig.: At one dose. On being called to a case of gall-stone colic, order applied over the gall-duct and gall-bladder cloths wrung out of as hot water as the patient can bear. This gives slight temporary re- lief, and satisfies the patient* that something is being done to alleviate the pain. Then prescribe the following: — IJ Fluidextracti lobeliap inflatte, fSiij. Syrupi pruni Virpfinianip, f^j. Water, q. s. ad fjiij. Misce. Sig.: A teaspoonful every five or ten min- utes until nausea or vomiting is produced, and then as often as is necessary to keep up the nausea. Hand-Book of Modern Treatment, 199 Q Sodii bicarbonatis, 3iss. Acidi benzoici, 3ss. Sodii phosphatiS; 3ij. Aquae bullientis, ^iv. Dissolve, filter, and add cinnamon water Jvj. Sig. : Two tablespoonfuls of this mixture may be given three times a day in cases of uric acid gravel. GANGRENE. IJ Acidi nitrohydrochlorici, 5j« Sig.: Apply to affected parts with a glass rod. If it burns too deeply apply a solution of soap. Used in hospital gangrene. IJ Tinct. ferri chloridi, Jij- Sig.: Give two minims every three hours, in water, and through a glass tube. Indication: Used to prevent pycemic infec- tion in moist gangrene. T^ Bromi, fjj. Sig.: Pour bromine into a glass of water, then draw into syringe and inject into the wound, and then cover wound with antiseptic fomentations. IJ Hydrargyri chloridi corrosivi, gr. xv. Aquae, Oij. Misce. Sig.: Cover affected area with gauze well saturated with this. GASTRALGIA. IJ Codeinae sulphatis, gr. v. Atropinae sulphatis, gr. Vio* Aconitinae, gr. V»« Ext. cannabis Indicae, gr. ij. Misce et fiant pilulae no. xx. Si^. : One pill every half-hour until four are taken; then one pill as indicated. Indication: To relieve acute pain. 200 Hand-Book of Modern Treatment. IJ Arseni trioxidi, gr. ss. Extracti gentianie, gr. xxiv. Misce et fiant pilulee no. xij. Sig. : One pill three times daily between meala. li Olei cajupiiti, f5j. Tinct. capsici, fSiij. Lin. camphorsB ammon., fSiv. Misce. Sig.: For external use. Rub in for five to ten minutes once or twice dailv. Indication: Useful in severe cases as a counter-irritation over the epigastrium. IJ Tinct. belladonnse, fSj. Tinct. calumbae, f3j. Tinct. arnicae, f3j. Tinct. opii camphoratae, fSj. Misce. Sig.: Five to ten drops in 8Uga.r- water every three hours until pain ceases. li Bismutlii subnitratis, gr. x. Bismuth i subsalicylatis, gr. x. Pulv. ipecacuanha?, gr. j. Bcnzonaptholis, gr. x. ^risce. Sig.: One such powder after each meal. IJ Tinct. belladonna?, m xx. Tinct. capsici, /// v. Tinct. gcntianae comp., fSij. Aquae dost., f^j. Misce. Sig.: One tcasiM)()nful before each meal. Indication: To relieve pain if gastric fer- mentation is i)resent. IJ Resoreinolis, 3iiss. Bismutlii subsalicylatis, 3iiss. Pulv. rhei., Siiss. Sodii su]])hatis, Siiss. Sacchari lactis, ^hs. ^lisco. Sig.: One-half Icaspoonful twice daily. Indication: Iam with gastric fermentation. Hand-Book of Modern Treatment, 201 IJ Codeinse sulpha tis, gr. iij. Ext. cannabis Indicae, gr. ij. Ext. nucis vomicae, gr. iij. Misce et fiant pilulse no. xij. Sig. : One three times daily after meals. Indication: Useful in excessive gastralgia in chronic gastritis. For many years Professor Whitf ord has taught his classes to prescribe the bicarbonate of soda freely where there is persist- ent pain in the stomach, often depending upon gastric ulcer. Sir Lauder Brunton has recently advised that a teaspoonful of the bicarbonate of soda in a little lime-water, to which the es- sence of peppermint has been added, gives a more speedy re- lief from pain from gastric ulcer than morphine. In many cases, by the neutralization of acid fluids present, it produces relief where morphine will not. When flatulence is associated with pain after food and coated tongue, indicating gastritis, the following prescription should be given: — I^ Potassii bicarb, vel sodii bicarb., 5ij. Spts. ammonise aromatici, 3iss. Liq. strychninae ( P. B. ) , Sss. Spt. cajuputi (P. B.), 3iss-3ij. Spt. chloroformi, 3j. Infusi calumbae vel gentianae co., 5vj. Misce et fiant mist. Sig.: A sixth part three times a day be- tween meals. IJ Argenti nitratis, gr. v. Ext. hyoscyami, gr. x. Misce et fiant pilulse no. xx. Sig.: One pill before meals. Indication: Useful in pain from gastric ulcer. IJ Spiritus chloroformi, f3iv. Spiritus aetheris comp., fSiv. Misce. Sig.: One teaspoonful in water every hour until relieved. Indication: Used for relief of acute pain. 202 Hand-Book of Uodern Treatment. IJ Condurango, f5iv. Acidi hydrochlorici diluti, fSiv. Tinct. gentianse comp., f^iss. Aquae dest., q. s. ad fjiij- Misce. Sig. : Teaspoonfiil after meals. Indication: Useful in gastralgia in gastric cancer. IJ Tinct. ferri chloridi, f^j. Acidi hydrochlorici diluti, f^ss. Liq. acidi arsenosi, fjss. Misce. Sig.: From four to fifteen drops in water after meals three times daily. Indication: Useful in ansemia complicating it. IJ Tinct. capsici, fSj. Tinct. cannabis indicse, f^ss. Tinct. opii deodorati, f^j. Spt. chloroformi, f5j. Tinct. lavand. comp., q. s. ad fjiv. Misce. Sig.: Teaspoonful every hour until pain is relieved. Indication: Useful in gastralgia and other abdominal pains. I^ Acidi hydrocyanici diluti, f3j. Fluidextracti cannabis indicae, £3j. Tinct. hvoscvami, f3iss. Spiritus chloroformi, fSij. Misce. Sig.: One-half teaspoonful in water three times daily for an adult. B Chloroformi, 3j. Morphinse sulphatis, gr. j. Pulv. acacia;, 3j. Aquie, q. s. ad fjiij. Misce et liat omulsio et adde Syrupi, fSiv. A(iua? amygd. amar., f3j. Misce. Sig.: One teaspoonful every half-hour until relieved. Hand-Book of Modern Treatment. 203 GASTRITIS^ ACUTE. I( Bismuthi subnitratis, gr. v. Bismuthi subsalicylatis, gr. v. Pulv. ipecacuanhse, gr. j. Benzonaphtbolis, gr. v. Misce et fiat chartula no. j. Sig.: One such after each meal. I( Bismuthi subnitratis, gr. xl. Cerii oxalatis, gr. xx. Misce et fiant chartulse no. xx. Sig.: One powder every two hours. I( Sodii bicarbonatis, Siiss. Magnesii oxidi, 5ij. Sodii bromidi, Siiss. Bismuthi subcarbonatis, gr. Ixv. Sacchari, Siiss. Olei fceniculi, m iv. Misce. Sig.: From half a teaspoonful to a tea- spoonful to be taken an hour or two after eating, and a special dose in case of pain. Indication: Pain due to gastric acidity re- lieved bv this. I^ Betanaphtholis, gr. x. Bismuthi subnitratis, gr. x. Bismuthi benzoatis, gr. x. Bismuthi subsalicylatis, gr. x. Magnesii oxidi pond., gr. x. Menthol is, gr. x. Sacchari, gr. v. Misce et fiat chartula no. j. Sig.: One powder three times daily. Indication: Useful in gastric fermentation. B Ichthyolis, Siss. Tinct. opii, f3ij. Bismuthi subcarb., Siss. Syrupi, fSiv. Aqua? menth. pi])., q. s. ad fjiv. Misce. Sig.: One dessertspoonful in water before meals. 204 Hand-Book of Modem Treatment. After evacuating the stomach with a siphon and cleansing the membrane with a solution of wann water, the following antiseptic solution may be used to wash out the stomach : — B Thymol., gr. vj. Acidi borici, 5iv. Aquae destil., Oj. Misce. Sig.: To be introduced and withdrawn through the stomach-tube. When flatulence is associated with pain after food and coated tongue, indicating gastritis, the following prescription sliould be given: — IJ Fotassii bicarb, vel sodii bicarb., 3ij. Spt. ammonise aromatici, 3iss. Liq. strychninse ( P. B. ) , Sss. Spt. cajuputi (B. P. ), 3is8-ij. Spt. chloroformi, 3j. Infusi calumbse vel gentianse co., 5vj. Misce. Sig.: A sixth part three times a day be- tween meals. IJ Magnesise calcinse, gr. vj. Sodii bicarbonatis, gr. vj. Sodii bromidi, gr. x. Bismuthi subnitratis, gr. ij. Misce et fiant chartulae no. j. Sig.: One such before meals. Indication: Useful in acute catarrhal gas- trills to stop fermentation. B Saloli. 3j. Bismuthi subnitratis, 3iv. Tinct. opii camphorata, f3iij. Tinct. zingibcris. fSiij: Misturaj creta?, q. s. ad fjiij. !Misco. Sig. : Two teaspoonfuls every three hours until tlio stools are formed, then one teaspocm- ful thrice dailv. Indication: Good in acute gastro-enteritis. Hand-Book of Modern Treatment, 205 I( Sodii bicarbgnatis, 3ij. Tinct. gentianse comp., 3iv. Elixiris aromat., q. s. ad ^ij- Misce. Sig. : One teaspoonful in water after meals. Indication: Useful in acute condition for children. 3 Tinct. nucis vomicae, 3j. Tinct. physostigmatis, 3j. Tinct. belladonnae, 3j. Sig. : Fifteen minims twice daily in water. Indication: Useful in acute gastritis with flatulence. I( Bismuthi subnitratis, 3iij. Zinci sulphocarbolatis, gr. xij. Tinct. hyoscyami, 3iij. Glycerini, 3iv. Aquse, q. s. ad ^iij- Misce. Sig.: One teaspoonful every four hours. Indication: Useful in gastro-enteritis. GASTRITIS, CHRONIC. In chronic alcoholism or delirium tremens, piscidia will prove its worth. The following combination has given good results : — IJ Fluidextracti piscidise, fSv-f^j. Fluidextracti erythroxylon cocae, f3iv. Fluidextracti hyoscyami, f3j. Tinct. capsici, m xxx. Spts. setheris comp., q. s. ad fjij. Misce. Sig.: One or two teaspoonfuls every hour or two until sleep is secured; afterward one teaspoonful every three or four hours till the nervous system resumes its normal condition* I^ Argenti nitratis, gr. x. Aquse menthse pip., i^v. Misce. Sig.: One teaspoonful one hour before meals. 206 Hand-Book of Modem Treatment. Q Bismuthi subcarb.^ 3ij. Magnes. usta, 3ij. !Misce et liant chartulae no. xv. Sig. : One powder after eating. Indication: If liydrochloric acid does not agree this is good. IJ Pepsini (scale), 3ij. Acidi hydrochlor. diluti, fSiv. AqusB, q. s. ad fjviij. Misce. Sig.: One teaspoonful in water after meals. Indication: Useful to assist feeble digestion. IJ Sodii bicarbonatis, 3iij. Tinct. gentianae oomp., q. s. ad fjiv. Misce. Sig.: One teaspoonful after meals. Indication: Useful during convalescence. IJ Oleoresini capsici, gr. x. Pancrcatin, gr. xx. Pulv. zingiberis, gr. Ix. Pulv. ctirbonis lignis, gr. Ix. Misce et fiant pihilae no. xx. Sig.: One or two t.i.d. Indication: Very good in atonic or subacute gastric catarrh accompanied with much belch- ing. IJ Argenti nitratis, gr. v. Ext. hyoscyami. gr. x. Misce et fiant pihilae no. xx. Sig.: One pill one-half-hour before each meal. R Sodii bicarbonatis, 5ij. Tinct. nucis vomica?, Jss. Aquae, q. s. ad Jiij. Misce. Sig.: One teaspoonful after meals. Indication: Useful in subacute gastric ca- tarrh. Hand-Book of Modem Treatment. 207 GASTRIC ULCER. In gastric ulcer Cohnlieim has long relied on olive-oil as an adjunct in treatment. He believes that it relieves pain, lubri- cates surfaces of ulcers or fissures, reduces hyperacidity, and acts as an easily digested food. In employing olive-oil one should take precautions to make sure that the oil is pure, as in com- merce it is commonly adulterated to a large extent with cotton- seed-oil, a body whose therapeutic and nutritive qualities have not been fully examined. Sir Lauder Brunton states that he can stop the pain in a large percentage of cases by the administration of sodium bi- carbonate. He instructs the patient to dissolve one teaspoonful of the soda and slowly sip the solution until it is gone. He thinks it better to dissolve the soda in lime-water, flavoring it with some of the mint waters. His reason for using lime-water is that the sodium bicarbonate in plain water might soften the tissues to a great degree and thus predispose to haemorrhage. To lessen the constipation caused by the lime, fluid magnesia may be given in conjunction with the soda : — 3 Spts. menthse pip., 3iss. Cretae prep., 3ss. Mag. carb. calcined, 3j. Sod. bicarb., 3j. Misce. Sig. : One teaspoonful should be stirred in a half tumbler of water and slowly sipped until the pain is relieved. IJ Fluidextracti condurango, 5ss. Acidi hydrochlorici, 3ij. Tinct. gentianae comp., ^iss. Aquae, q. s. ad 5iij- Misce. Sig.: One teaspoonful after meals. Indication : Useful in gastric cancer, I^ Argenti nitratis, gr. v. Extracti hyoscyami, gr. x. Misce et fiant pilulae no. xx. Sig. : One pill one hour before meals. 208 Hand-Book of Modem Treatment. I^ Cliloretan, 3ij. Fiant pilulse no. xxx. Sig. : One pill four times daily. Indication: Grood when pain is present. IJ Bismuthi subnitratis, 3ij. Morphinae, gr. iv. Misce et fiant chartulse no. xij. Sig.: One powder three times daily or as often as necessary to relieve pain. I^ Olei terebinthinae, f3ij. Pone in capsulas no. xij. Sig.: One capsule every six hours. Indication: Good to prevent hsemorrhage. IJ Phenolis, gr. xx. Bismuthi subnitratis, 5j. Misce et fiant chartulse no. xxiv. Sig.: One powder three times daily. I^ Fluidextracti condurango, f3vj. Acidi hydrochlorici diluti, fSiv. Tinct. gentianae comp., ^iss. Aquae, q. s. ad 5iij- Misce. Sig.: Teaspoonful after meals. Indication: Useful in severe pain due to gastric cancer. GINGIVITIS (INFLAMMATION OF THE GUMS). I^ Saloli, gr. xv. Spts. menth. pip., 3x. Tinct. catechu, 3j. Misce. Sig.: One teaspoonful in half a glass of warm water as a mouth wash. I^ Acidi carbolici, gr. xx. Potassii chloratis, gr. xx. Syrupi, 5j. Aquae caniphorae, Jiij- Misce. Sig.: One dessertspoonful as a mouth wash diluted in half a glass of water. Hand-Book of Modem Treatment, 209 Lance the gums: — (1) When a tooth is very near the surface, to spare need- less suffering. (2) When the gums are very red, hot, and swelled. (3) When the child has been feverish for a week or two and the tooth does not seem to advance, although the gum is tense and swelled. (4) When, during the progress of teeth- ing, a child is suddenly seized with convulsions for which there is no obvious cause. The irritation of the teeth may be the real cause; and the chance of